Healthcare Provider Details

I. General information

NPI: 1417945312
Provider Name (Legal Business Name): WESTFIELD SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 W TILGHMAN ST
ALLENTOWN PA
18104-9322
US

IV. Provider business mailing address

4825 W TILGHMAN ST
ALLENTOWN PA
18104-9322
US

V. Phone/Fax

Practice location:
  • Phone: 610-530-8343
  • Fax: 610-530-1617
Mailing address:
  • Phone: 610-530-8343
  • Fax: 610-530-1617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number10821500
License Number StatePA

VIII. Authorized Official

Name: PROF. SHERRY BEERS
Title or Position: FINANCE MANGER
Credential:
Phone: 610-366-9242